关节角度测量法和屈伸测量法评估慢性颈痛患者的颈椎活动范围：一项有效性和可靠性研究。
Goniometry and fleximetry measurements to assess cervical range of motion in individuals with chronic neck pain: a validity and reliability study.
机构信息
Postgraduate Program in Physical Education, Department of Physical Education, Universidade Federal do Maranhão, São Luís, Maranhão, Brazil.
Instituto Center Fisio Inovare, São Luís, Maranhão, Brazil.
出版信息
BMC Musculoskelet Disord. 2024 Aug 19;25(1):651. doi: 10.1186/s12891-024-07775-6.
PURPOSE
To assess the test-retest and inter-rater reliability of goniometry and fleximetry in measuring cervical range of motion in individuals with chronic neck pain.
METHODS
A reliability study. Thirty individuals with chronic neck pain were selected. Cervical range of motion was measured by goniometry and fleximetry at two time points 7 days apart. To characterize the sample, we used the numerical pain rating scale, Pain-Related Catastrophizing Thoughts Scale, and Neck Disability Index. Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change (MDC) were calculated. Correlations between goniometry and fleximetry measurements were performed using Spearman's correlation coefficient (rho).
RESULTS
For goniometry, we found excellent test-retest reliability (ICC ≥ 0.986, SEM ≤ 1.89%, MDC ≤ 5.23%) and inter-rater reliability (ICC ≥ 0.947, SEM ≤ 3.91%, MDC ≤ 10.84%). Similarly, we found excellent test-retest reliability (ICC ≥ 0.969, SEM ≤ 2.71%, MDC ≤ 7.52%) and inter-rater reliability (ICC ≥ 0.981, SEM ≤ 1.88%, MDC ≤ 5.20%) for fleximetry. Finally, we observed a strong correlation between the goniometry and the fleximetry for all cervical movements (rho ≥ 0.993).
CONCLUSION
Goniometry and fleximetry measurements are reliable for assessing cervical range of motion in individuals with chronic neck pain.
目的
评估在慢性颈痛患者中测量颈椎活动度时的关节角度测量法和 Flexi 测量法的重测信度和组内信度。
方法
一项可靠性研究。选择 30 名慢性颈痛患者。在相隔 7 天的两个时间点，使用关节角度测量法和 Flexi 测量法测量颈椎活动度。为了描述样本，我们使用数字疼痛评分量表、疼痛相关灾难性思维量表和颈部残疾指数。计算了组内相关系数（ICC）、测量标准误差（SEM）和最小可检测变化（MDC）。使用 Spearman 相关系数（rho）对关节角度测量法和 Flexi 测量法的测量结果进行相关性分析。
结果
对于关节角度测量法，我们发现其具有极好的重测信度（ICC≥0.986，SEM≤1.89%，MDC≤5.23%）和组内信度（ICC≥0.947，SEM≤3.91%，MDC≤10.84%）。同样，我们发现 Flexi 测量法具有极好的重测信度（ICC≥0.969，SEM≤2.71%，MDC≤7.52%）和组内信度（ICC≥0.981，SEM≤1.88%，MDC≤5.20%）。最后，我们观察到所有颈椎运动的关节角度测量法和 Flexi 测量法之间具有很强的相关性（rho≥0.993）。
结论
在慢性颈痛患者中，关节角度测量法和 Flexi 测量法均可可靠地评估颈椎活动度。
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